Individual
KEON RAYNARD BRANHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
223 ORANGE ST SE # B, WASHINGTON, DC 20032-1764
(571) 969-8648
Mailing address
223 ORANGE ST SE # B, WASHINGTON, DC 20032-1764
(571) 969-8648
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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